PHYSIOTHERAPY CORPORATION (NPI# 1437559580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437559580 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY CORPORATION |
| Practice Address |
4924 Campbell Blvd Suite 130a Nottingham MD 21236-5908 |
| Practice Telephone | 6108844814 |
| Mailing Telephone | 6108844814 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | PAM RICE (HR) |
| Authorized Official Telephone | 6106447824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
21190 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11779850 | 01 | |
| MD | MEDICARE ID | 216512 | 01 |
| CHAMPUST | 1245244938 | 01 | |
| IBC AMERIHEALTH | 3503195000 | 01 | |
| AMERIHEALTH | 3503195000 | 01 | |
| CAREFIRST | 50700047 | 01 | |
| NCA | 88760514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946834 | Physiotherapy Corporation | Clinic/Center | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2015-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PHYSIOTHERAPY CORPORATION | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Iowa Business Entities | PHYSIOTHERAPY CORPORATION | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Virginia Business Entities | Physiotherapy Corporation | 4714 Gettysburg Road, Mechanicsburg, Pennsylvania 17055 |
| Oregon Corporations, Companies and Business Names | PHYSIOTHERAPY CORPORATION | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Washington State Corporations | PHYSIOTHERAPY CORPORATION | 4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325 |
| Ohio Business Entities | PHYSIOTHERAPY CORPORATION | 101 Lindenwood Drive, Suite 420, Malvern, PA 19355 |
| Oklahoma Business Registrations | PHYSIOTHERAPY CORPORATION | 101 Lindenwood Dr Ste 420, Malvern, PA 19355 |
| Massachusetts Corporations | PHYSIOTHERAPY CORPORATION | 855 Springdale Drive, Suite 200, Exton, PA 19341 |
| Connecticut Business Registrations | PHYSIOTHERAPY CORPORATION | 855 Springdale Drive, Suite 200, Exton, PA 19341 |
| Street Address |
4924 CAMPBELL BLVD SUITE 130A |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114404332 | Anthony Trinh | Physical Therapist | 4924 Campbell Blvd, Nottingham, MD 21236-5908 | 2018-07-20 |
| 1255875134 | Maureen Luthardt | Nurse Practitioner | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2016-12-12 |
| 1003363854 | Kathryn Kloss | Nurse Practitioner | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2016-09-08 |
| 1356797773 | Jennifer Zanni | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2016-05-05 |
| 1851772024 | Elizabeth Ault | Physical Therapy Assistant | 4924 Campbell Blvd, Ste. 130a, Nottingham, MD 21236-5908 | 2015-06-14 |
| 1407261720 | Jessica Minacapelli Miele | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2014-06-25 |
| 1336408160 | Ethel Mojoko | Internal Medicine | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2012-05-14 |
| 1477849149 | Kristen Shaw Deitchman | Pediatrics | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2011-06-21 |
| 1003123027 | Danielle R. North | Physician Assistant | 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236-5908 | 2010-09-13 |
| 1558592808 | Kristin Dawn Duryea | Physical Therapist | 4924 Campbell Blvd, Suite 130a, Nottingham, MD 21236-5908 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.